Organization
JEREMY J FREDERICK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY J. FREDERICK M.D. (OWNER)
(646) 643-4556
Entity
Organization
Contact information
Practice address
320 E 91ST ST APT 5FW, NEW YORK, NY 10128-6004
(631) 264-2035
Mailing address
PO BOX 270, MASSAPEQUA PARK, NY 11762-0270
(631) 264-2035
(631) 264-1418
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
246451
NY
Other
Enumeration date
06/28/2013
Last updated
07/21/2022
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